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A Chechia

Publications and source records attributed to A Chechia.

9 recordsLinked to original sources
PubMed2001

[Ovarian fibrothecal tumors. Apropos of 12 cases].

OBJECTIVE: To identify diagnosis, therapeutic and histological particularities of ovarian fibro-thecomas. STUDY DESIGN: A retrospective study of 12 patients who underwent surgical treatment for ovarian fibro-thecoma between January 1994 and December 1999 was reported. Clinical, ultRasonographic, tumour marker, therapeutic and histologic data were analysed. RESULTS: Mean age of patients was 46.83 years. Three patients were in perimenopausal period and six were menopausal. Ultrasonographic findings were: ovarian echogenic tumor in six cases, hypoechogenic tumor in three cases, mixed tumor in three cases and anechogenic tumour in one case. CA 125 level measured in 11 cases was normal. Nine patients underwent laparotomy. Three patients underwent laparoscopy, however, one was converted to laparotomy due to a suspected tumour. A conservative treatment was performed for three patients and radical treatment for nine patients. Histological findings were eight fibromas and five fibro-thecomas. CONCLUSION: Ovarian fibro-thecoma is uncommon. These lesions occur often in perimenopausal and menopausal patients. Clinical, ultrasonographic and tumour marker data remains the best preoperative approach currently available for ovarian tumours. However, the diagnosis remains histological. Tumorectomy is well indicated for young patients, however radical treatment is indicated for perimenopausal and menopausal patients.

Adult↗
PubMed2001

[Comparison of ultrasonographic and hysteroscopic results in perimenopausal metrorrhagias].

84 perimenopausal women with uterine bleeding underwent transvaginal ultrasonography and hysteroscopy. Sonographic and hysteroscopic findings have been evaluated on the basis of specimens obtained from either endometrial biopsy, hysterectomy or operative hysteroscopy. Sensitivity, specificity, positive and negative predictive value of hysteroscopy and transvaginal ultrasonography were calculated. Hysteroscopy had 91.6% sensitivity, 83.3% specificity, 93.2% positive predictive value and 80% negative predictive value in the diagnosis of intrauterine abnormality, whereas transvaginal ultrasonography had only 67.3% sensitivity, 87.5% specificity, 89.7% positive predictive value and 62.2% negative predictive value. In consequence hysteroscopy is better than transvaginal sonography concerning only the sensitivity (p < 0.01). Transvaginal ultrasonography seems to be an excellent initial diagnostic method, but hysteroscopy is a highly accurate means of diagnosing the cause of excessive uterine bleeding.

Adult↗
PubMed2000

[Ultrasonographic diagnosis of ectopic pregnancies. A report of 109 cases].

OBJECTIVE: To assess the accuracy of ultrasonographic diagnosis of ectopic pregnancies. METHODS: A retrospective study of ultrasonographic findings of 109 patients operated for ectopic pregnancy between january 1997 and december 1998. Ultrasonography was performed with an Aloka SSD 620 sonographic imager and a 5 MHz endovaginal transducer. RESULTS: All patients had a transvaginal sonography. Of these, 15 had a transabdominal sonography. Ultrasonographic findings of the 109 ectopic pregnancies were an extrauterine gestational sac in 10 cases (9.17%), an adnexel mass clearly separated from uterus and ovary in 87 cases (79.81%), a pelvic fluid in 90 cases (82.56%) and pseudogestational sac in 6 cases. Ultrasonography established the diagnosis of ectopic pregnancy in 89% of cases. Serum B HCG level was needed for diagnosis in 12 cases (11%). CONCLUSION: Transvaginal sonography is the method of choice for the evaluation of women with a suspected ectopic pregnancy. However, serum B HCG levels are useful for diagnosis in 11% of cases.

Chorionic Gonadotropin, beta Subunit, Human↗
PubMed1999

[Retrospective study of 167 ovarian tumors].

OBJECTIVE: Our purpose was to assess clinical particularities, diagnosis and therapeutic problems of ovarian tumors. STUDY DESIGN: A retrospective study of 156 patients having undergone an operation for ovarian tumor not suspected to be malignant between january 1991 and june 1998. The clinical, ultrasonographic and tumor marker data were analysed. RESULTS: Mean age of our patients was 34 years. 19 patients were menopausal. All ovarian masses were considered as benign at ultrasonographic scan. Serum CA125 level was measured in 42 cases. It was abnormal in 2 cases. 102 patients underwent laparotomy. 54 patients underwent laparoscopy, of these, 19 were converted to laparotomy due to a suspect macroscopic diagnosis (2 cases) or to technical difficulties (13 cases). Histological findings were 150 benign ovarian tumors, 12 fonctional cysts and 5 malignant ovarian tumors. Therefore, preoperative assessment had failed diagnosis of cancer in 5 cases. CONCLUSION: The clinical, ultrasonographic and tumor markers triad remains the best preoperative approach currently available for ovarian tumors. However, the final diagnosis remains histological.

Adolescent↗
PubMed1999

[Tubo-ovarian xanthogranulomatous inflammation. Report of a case].

Xanthogranulomatous inflammation in the female genital tract is rare and characterized by a massive infiltration of the tissue by lipid containing histiocytic cells, together with lymphocytes and plasma cells. We report a new case of Xanthogranulomatous inflammation of the female genital tract.

Aged↗
PubMed1993

[Measurement of the obstetrical pelvis by tomodensitometry (110 cases)].

We had studied in one year 110 cases of scano-pelvimetry, the clinical examination had not found a shrink pound in 41%, revealed by the sceno-pelvimetry. This method is more precisely than the classic pelvimetry, but more expansive. The simultaneous study of echography and pelvimetry had contributed to a better obstetrical decision.

Female↗
PubMed1993

[Umbilical endometriosis. 2 case reports].

The authors report two cases of umbilical endometriosis. Clinical diagnosis is established on menstrual rhythmicity of pain, swelling and bloody discharge. The treatment of choice for umbilical endometriosis is the surgical removal.

Adult↗
PubMedDate not supplied

[Molar pregnancy. Retrospective study of 60 cases in Tunisia].

To identify the epidemiologic, clinical end therapeutic particularities of molar pregnancies in Tunisia. A retrospective study of 60 cases of molar pregnancy Diagnosis of MP was base on elevated urine HCG level and/or histologic examination of uterine revision done for all patients. The incidence of MP is 1/793(60/47624) pregnancies. The mean age of patients was 31.7 years and 16 patients had more than 35 years. The metrorragia is the main symptom (91.6%). Excessive uterine enlargement and lutein ovarian cysts were observed respectively in 57 and 6.6% of cases. Human chorionic gonadotropin level was upper than 50,000 UI/l in 91.4% of cases. Ultrasonography contributed to diagnosis in 82.8% of cases. Histological findings were complete molar in 33 cases and partial molar in 27 cases. 6 of 33 patients having complete molar developed persistent gestational trophoblastic tumor. Actinomycin D induced complete remission in all cases. Molar pregnancy is a relatively common disease in Tunisia. Careful and reliable human chorionic gonadotropin monitoring is essential for the early detection of post molar persistent gestational trophoblastic tumor.

Adult↗